Health reform under the patient protection and Affordable Care Act

characteristics of exchange-based health insurance enrollees

Patricia A. Findley, R. Constance Wiener, Chan Shen, Nilanjana Dwibedi, Usha Sambamoorthi

Research output: Contribution to journalArticle

Abstract

The Affordable Care Act (ACA) reformed and expanded healthcare coverage with an exchange-based health insurance program. While millions of Americans have benefited from enrollment in ACA marketplace insurance plans, many individuals are likely to be affected by potential future policy changes. Since few studies on the features of marketplace enrollees exist, we adopted a retrospective, cross-sectional study design using 2016 National Health Interview data to identify sociodemographic and health characteristics of enrollees, comparing them to those without insurance. Chi-square tests and logistic regression examined factors associated with enrollees. Adults with multiple chronic diseases (AOR = 1.90, 95% CI = 1.44, 2.50), a history of smoking (AOR = 2.44, 95% CI = 1.82, 3.26), females, married, age 50–64 years, higher educational attainment, and retirees (AOR = 1.86, 95% CI = 1.06, 3.27) were more likely to be enrollees. Since enrollees are largely higher risk individuals with greater healthcare needs, policies that modify the ACA should take these factors into account to reduce potential adverse impacts on enrollees.

Original languageEnglish (US)
Pages (from-to)685-702
Number of pages18
JournalSocial Work in Health Care
Volume58
Issue number7
DOIs
StatePublished - Aug 9 2019

Fingerprint

Health Insurance Exchanges
Patient Protection and Affordable Care Act
Insurance
Health
Delivery of Health Care
Chi-Square Distribution
Cross-Sectional Studies
Logistic Models
Smoking
Interviews

All Science Journal Classification (ASJC) codes

  • Community and Home Care
  • Psychiatry and Mental health

Cite this

Findley, Patricia A. ; Wiener, R. Constance ; Shen, Chan ; Dwibedi, Nilanjana ; Sambamoorthi, Usha. / Health reform under the patient protection and Affordable Care Act : characteristics of exchange-based health insurance enrollees. In: Social Work in Health Care. 2019 ; Vol. 58, No. 7. pp. 685-702.
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Health reform under the patient protection and Affordable Care Act : characteristics of exchange-based health insurance enrollees. / Findley, Patricia A.; Wiener, R. Constance; Shen, Chan; Dwibedi, Nilanjana; Sambamoorthi, Usha.

In: Social Work in Health Care, Vol. 58, No. 7, 09.08.2019, p. 685-702.

Research output: Contribution to journalArticle

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